This topic contains a solution. Click here to go to the answer

Author Question: Which of the following statements is true about a safe, effective care environment for older adults? ... (Read 56 times)

imowrer

  • Hero Member
  • *****
  • Posts: 514
Which of the following statements is true about a safe, effective care environment for older adults?
 
  a. Cold beer with steak and potatoes is a good meal for an older adult on a hot day.
  b. Older drivers are more likely to be in a fatal motor vehicle accident than younger drivers.
  c. Barrier-free buses and low fares make public transit a safe transportation option.
  d. A nurse's perception of temperature is a useful guide for patient thermal needs.

Question 2

An older adult who takes clozapine (Clozaril) has schizophrenia and a surgical wound. Which laboratory test is the nurse's priority to evaluate before administering the clozapine to this individual?
 
  a. White blood cell count
  b. 2-hour urine for sodium
  c. Unconjugated bilirubin
  d. Clozapine serum level



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ebonylittles

  • Sr. Member
  • ****
  • Posts: 318
Answer to Question 1

B
Although older adults have safer driving habits (e.g., less night driving, less driving in heavy traffic, shorter distances, less speeding or drunk driving) than younger drivers, the physical and sensory changes of aging contribute to a higher incidence of fatal accidents for older adults. Hot, heavy meals and alcohol should be avoided when ambient temperatures exceed 90 F. The fear of crime often deters older adults from using public transit. The older adult's perception of tem-perature is the important factor.

Answer to Question 2

A

Feedback
A Correct. The nurse must check the older adult's white blood cell count (WBC) before administering clozapine (Clozaril) because it is associated with agranu-locytosis. This is important for an older adult with an existing wound because immune system function can decline with age and clozapine-associated agranu-locytosis can develop suddenly. If this older adult develops agranulocytosis, he or she would be virtually defenseless against pathogens invading the wound and potentially could develop a serious infection.
B Incorrect. A timed urine test for sodium gives information about renal function; however, renal dysfunction is not usually associated with clozapine administra-tion.
C Incorrect. Unconjugated bilirubin is a measure of free serum bilirubin and a test for liver function. Hyperbilirubinemia can indicate liver dysfunction and drug toxicity, but liver dysfunction associated with clozapine is not common.
D Incorrect. Checking the clozapine serum level is a reasonable test for the nurse to check, if this test is available; however, because agranulocytosis associated with clozapine can occur suddenly, the WBC is the most important test to check.




imowrer

  • Member
  • Posts: 514
Reply 2 on: Jul 11, 2018
YES! Correct, THANKS for helping me on my review


dantucker

  • Member
  • Posts: 346
Reply 3 on: Yesterday
Gracias!

 

Did you know?

The human body's pharmacokinetics are quite varied. Our hair holds onto drugs longer than our urine, blood, or saliva. For example, alcohol can be detected in the hair for up to 90 days after it was consumed. The same is true for marijuana, cocaine, ecstasy, heroin, methamphetamine, and nicotine.

Did you know?

According to the FDA, adverse drug events harmed or killed approximately 1,200,000 people in the United States in the year 2015.

Did you know?

To prove that stomach ulcers were caused by bacteria and not by stress, a researcher consumed an entire laboratory beaker full of bacterial culture. After this, he did indeed develop stomach ulcers, and won the Nobel Prize for his discovery.

Did you know?

The most destructive flu epidemic of all times in recorded history occurred in 1918, with approximately 20 million deaths worldwide.

Did you know?

Chronic necrotizing aspergillosis has a slowly progressive process that, unlike invasive aspergillosis, does not spread to other organ systems or the blood vessels. It most often affects middle-aged and elderly individuals, spreading to surrounding tissue in the lungs. The disease often does not respond to conventionally successful treatments, and requires individualized therapies in order to keep it from becoming life-threatening.

For a complete list of videos, visit our video library